Ajoy Krishna Sarkar1, Arindam Mukherjee2, Sayan Das3, Bhaswati Dasgupta Nath4, Raja Basu5, Avijit Das6 and Abhraneel Guha7*
1Clinical Director of Critical Care and Head of the Unit Pulmonary Medicine, Peerless Hospital and B.K. Roy Research Centre, Kolkata, West Bengal, India
2Consultant Respiratory Medicine, Peerless Hospital and B.K. Roy Research Centre, Kolkata, West Bengal, India
3Consultant Interventional Radiologist, Peerless Hospital and B.K. Roy Research Centre, Kolkata, West Bengal, India
4Consultant Internal Medicine, Peerless Hospital and B.K. Roy Research Centre, Kolkata, West Bengal, India
5Consultant Internal Medicine and Intensivist, Peerless Hospital and B.K. Roy Research Centre, Kolkata, West Bengal, India
6Consultant Tropical Medicine, Peerless Hospital and B.K. Roy Research Centre, Kolkata, West Bengal, India
7Senior Registrar, Internal Medicine, Peerless Hospital and B.K. Roy Research Centre, Kolkata, West Bengal, India
*Corresponding Author: Abhraneel Guha, Senior Registrar, Internal Medicine, Peerless Hospital and B.K. Roy Research Centre, Kolkata, West Bengal, India.
Received: May 17, 2021; Published: June 05, 2021
60-year-old male patient with a background of post liver transplant from living donor 10 years back and also diagnosed interstitial lung disease (ILD) 2 years back presented with a left sided pneumothorax with bronchopleural fistula (BPF) in February this year. He was managed initially in a local hospital with intercostal chest drain. Because of persistent bronchopleural fistula, his left lung remained in a state of partial collapse. He was admitted in our hospital with respiratory distress due to surgical emphysema in addition to pneumothorax. After changing the intercostal drain, surgical emphysema got better but there was no sign of improvement of his bronchopleural fistula. A CT scan of the chest revealed moderate amounts of pneumothorax on left pleural space with ICD seen in situ. Three dimensional reconstruction of CT thorax suggested a possible fistula in the left anterior upper segmental bronchus. Localization of BPF was confirmed by inflating a 4F fagoti balloon followed by injecting Iohexol dye in the above subsagement through fibre optic bronchoscopy. Subsequently bronchoscopy guided endobronchial glueing and closure of the BPF was done. Repeat CT scan confirmed closure of the BPF and resolution of the pneumothorax was noted. Patient was discharged in a stable condition.
Keywords: Bronchopleural Fistula; Liver Transplant; Endobronchial Glueing; Fiberoptic Bronchoscopy; Interstitial Lung Disease
Citation: Abhraneel Guha., et al. “A Case of Late Bronchopleural Fistula in a Patient of Liver Transplant and Interstitial Lung Disease". Acta Scientific Clinical Case Reports 2.7 (2021): 38-42.
Copyright: © 2021 Abhraneel Guha., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.